Ivy Tran

NPI #1295187516 in Casselberry, Florida

Provider Information

NPI Number: 1295187516
Entity Type: Individual
Name: Ivy Tran
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 11, 2016
Last Updated: Jul 11, 2016

Practice Location

Address: 879 STATE ROAD 436
City: Casselberry
State: Florida
ZIP Code: 32707-5360
Phone: (407) 767-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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